Application Form - Advanced Recuit

DATA PROTECTION

The Data Protection Act 1998 requires that any staff handling personal data must follow certain principles in relation to the data that they hold. Individuals have rights of access to data that is held and rights to claim for damages if various offences occur. This covers manual as well as computerised records. In implementing the legislation, LuMakHealth adopts a simple and straightforward policy. If you are unsuccessful in this application, we will only keep this information for 6 months should you wish to be considered for other vacancies within LuMakHealth services.

CRIMINAL RECORD CHECK

I have completed an application for a criminal record check and can further state that, to the best of my knowledge and belief, there will not be any positive disclosure made that will preclude me from working with vulnerable adults or children.I also give permission for a copy of the disclosure to which I am subject, to be made available to a named authorised person upon written request, who acts on behalf of a National Government or Local Government Department for auditing purposes.

DBS/CRB

You will be required to provide a copy of your latest DBS/CRB or apply for one as a part of this job application process. Do you agree to this? *

AUTHORISATION

It is LuMak Health services’ policy to employ the best qualified personnel and provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person because of race, colour, ethnic origin, national origin, sex, sexual orientation, religion or belief, pregnancy, trans-gender status, marital or civil partnership status, age or disability.I authorise LuMak Health services to obtain references to support this application, and release LuMak Health services and referees from any liability caused by giving and receiving information.

DECLARATION

I confirm that the information given on this form is, to the best of my knowledge, true and complete. Any false statement will be sufficient cause for rejection or, if employed, dismissal.

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01902 239008

eXAMPLE application form

personal details:

EDUCATIONAL QUALIFICATIONS

OCCUPATIONAL QUALIFICATIONS

EMPLOYMENT HISTORY

NEXT OF KIN

REFEREES

DATA PROTECTION

CRIMINAL RECORD CHECK

DBS/CRB

AUTHORISATION

DECLARATION

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